| NPI | 1669889614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R185494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R185494) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-04-19 |